Active NPI
Krissy Renee Wappler, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1609167386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54869
- Practice address
- 14001 Bee Cave Pkwy Ste 100
Austin, TX 78738-7173 - Phone
- (512) 884-1277
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54869 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 007472 | CT |
Addresses
Primary practice location
14001 Bee Cave Pkwy Ste 100
Austin, TX 78738-7173
Mailing address
803 Lakeway Dr
Lakeway, TX 78734-4433
Phone (512) 884-1277
Other practice location 1
700 Summer St
Suite 1A
Stamford, CT 06901-1025
Phone (203) 423-9477
Other names 1
- Mrs. Krissy Wappler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54869 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1609167386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 LAKEWAY DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344433",
"telephone_number": "512-884-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 BEE CAVE PKWY STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787387173",
"telephone_number": "512-884-1277"
}
],
"practiceLocations": [
{
"address_1": "700 Summer St",
"address_2": "Suite 1A",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069011025",
"country_code": "US",
"telephone_number": "203-423-9477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAPPLER",
"first_name": "KRISSY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54869",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007472",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISSY",
"last_name": "WAPPLER",
"prefix": "MRS.",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.